Organization Active NPI

Latitude Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Westfield, MA
National Provider Identifier
1447975818
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LATITUDE PSYCHIATRY, LLC
Practice address
77 Mill St Ste 220
Westfield, MA 01085-4598
Phone
(413) 213-3812
NPI assigned
Oct 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Graziano, APRNNPI 1386300366
Title
Owner
Phone
(413) 433-4712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

77 Mill St Ste 220
Westfield, MA 01085-4598

Mailing address

8 W Silver St
#278
Westfield, MA 01086

Other practice location 1

39 New London Tpke Ste 230B
Glastonbury, CT 06033-2061
Phone (860) 577-2692

National Provider Directory

National Provider Directory

Locations

39 New London Tpke
Ste 230B
Glastonbury, CT 06033
Phone (860) 368-0707

77 Mill St
Ste 220
Westfield, MA 01085
Phone (413) 213-3812

8 W Silver St
Unit 278
Westfield, MA 01086

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1447975818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W SILVER ST",
            "address_2": "#278",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "01086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MILL ST STE 220",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854598",
            "telephone_number": "413-213-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 New London Tpke Ste 230B",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060332061",
            "country_code": "US",
            "telephone_number": "860-577-2692",
            "fax_number": "860-973-1847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LATITUDE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "GRAZIANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-433-4712",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.